Ongaki Dominic, Obonyo Mark, Nyanga Nancy, Ransom James
1 Lodwar County Referral Hospital, Lodwar, Turkana County, Kenya.
2 Turkana County Health Department, Lodwar, Turkana County, Kenya.
J Int Assoc Provid AIDS Care. 2019 Jan-Dec;18:2325958219838830. doi: 10.1177/2325958219838830.
Kenya is one of 22 countries globally that account for 90% of all HIV-positive pregnant women. This study aimed to determine factors affecting uptake of prevention of mother-to-child transmission (PMTCT) services among HIV-positive pregnant women at Lodwar County Referral Hospital in Turkana County, an arid area in northern Kenya. We conducted a retrospective review of HIV-positive pregnant women attending antenatal care (ANC) and accessing PMTCT services between January 2015 and December 2016. We used infant prophylaxis as a proxy measure of PMTCT uptake, and records across programs were linked using the mother's unique medical identification number. A total of 230 participants were included in the study. Bivariate analyses showed maternal prophylaxis (odds ratio [OR] = 45.71; 95% confidence interval [CI]: 10.35-202.00), residing in urban center (OR = 2.64, 95% CI: 1.45-4.81), and having at least one ANC visit (OR = 2.78; 95% CI: 1.25-6.17) were significantly associated with uptake of PMTCT.
肯尼亚是全球22个国家之一，这22个国家的艾滋病毒呈阳性的孕妇占全球此类孕妇总数的90%。本研究旨在确定影响肯尼亚北部干旱地区图尔卡纳县洛德瓦尔县转诊医院艾滋病毒呈阳性的孕妇接受预防母婴传播（PMTCT）服务的因素。我们对2015年1月至2016年12月期间接受产前护理（ANC）并获得PMTCT服务的艾滋病毒呈阳性的孕妇进行了回顾性研究。我们将婴儿预防用药作为PMTCT接受情况的替代指标，并使用母亲的唯一医疗识别号码对各项目的记录进行关联。共有230名参与者纳入本研究。双变量分析显示，产妇预防用药（优势比[OR]=45.71；95%置信区间[CI]：10.35 - 202.00）、居住在城市中心（OR = 2.64，95% CI：1.45 - 4.81）以及至少进行一次产前检查（OR = 2.78；95% CI：1.25 - 6.17）与PMTCT的接受情况显著相关。
